Exenatide: a GLP-1 receptor agonist as novel therapy for Type 2 diabetes mellitus

被引:62
作者
Briones, Mariele
Bajaj, Mandeep [1 ]
机构
[1] Univ Texas, Med Branch, Div Endocrinol, Galveston, TX 77555 USA
[2] Univ Texas, Med Branch, Stark Diabet Ctr, Galveston, TX 77555 USA
关键词
exenatide; exendin-4; GLP-1; incretin; Type; 2; diabetes;
D O I
10.1517/14656566.7.8.1055
中图分类号
R9 [药学];
学科分类号
1007 [药学];
摘要
Exenatide is a glucagon-like peptide 1 receptor agonist, which has recently received FDA approval in the US for the treatment of Type 2 diabetes. Exenatide is an incretin mimetic that improves glycaemic control in patients with diabetes through acute mechanisms, such as glucose-dependent stimulation of insulin secretion, suppression of inappropriate glucagon secretion and slowing of gastric emptying, as well as chronic mechanisms that include enhancement of beta-cell mass in rodent studies and weight loss and inhibition of food intake in humans. This article reviews the mechanisms of exenatide action, as well as its efficacy in the treatment of Type 2 diabetes.
引用
收藏
页码:1055 / 1064
页数:10
相关论文
共 83 条
[1]
Insulinotropic hormone glucagon-like peptide-1 differentiation of human pancreatic islet-derived progenitor cells into insulin-producing cells [J].
Abraham, EJ ;
Leech, CA ;
Lin, JC ;
Zulewski, H ;
Habener, JF .
ENDOCRINOLOGY, 2002, 143 (08) :3152-3161
[2]
American Diabetes Association, 2001, Diabetes Care, V24, P775
[3]
*AMYL PHAR INC, 2005, BYETT EX INJ PRESCR
[4]
[Anonymous], 2005, DIABETES CARE, V28, pS4
[5]
EXON DUPLICATION AND DIVERGENCE IN THE HUMAN PREPROGLUCAGON GENE [J].
BELL, GI ;
SANCHEZPESCADOR, R ;
LAYBOURN, PJ ;
NAJARIAN, RC .
NATURE, 1983, 304 (5924) :368-371
[6]
Structure-function of the glucagon receptor family of G protein-coupled receptors: The glucagon, GIP, GLP-1, and GLP-2 receptors [J].
Brubaker, PL ;
Drucker, DJ .
RECEPTORS & CHANNELS, 2002, 8 (3-4) :179-188
[7]
PHYSIOLOGICAL IMPORTANCE OF DEFICIENCY IN EARLY PRANDIAL INSULIN-SECRETION IN NON-INSULIN-DEPENDENT DIABETES [J].
BRUCE, DG ;
CHISHOLM, DJ ;
STORLIEN, LH ;
KRAEGEN, EW .
DIABETES, 1988, 37 (06) :736-744
[8]
Effects of exenatide (exendin-4) on glycemic control over 30 weeks in sulfonylurea-treated patients with type 2 diabetes [J].
Buse, JB ;
Henry, RR ;
Han, J ;
Kim, DD ;
Fineman, MS ;
Baron, AD .
DIABETES CARE, 2004, 27 (11) :2628-2635
[9]
Glucagon-like peptide-1 prevents beta cell glucolipotoxicity [J].
Buteau, J ;
El-Assaad, W ;
Rhodes, CJ ;
Rosenberg, L ;
Joly, E ;
Prentki, M .
DIABETOLOGIA, 2004, 47 (05) :806-815
[10]
CONTRIBUTION TO POSTPRANDIAL HYPERGLYCEMIA AND EFFECT ON INITIAL SPLANCHNIC GLUCOSE CLEARANCE OF HEPATIC GLUCOSE CYCLING IN GLUCOSE-INTOLERANT OR NIDDM PATIENTS [J].
BUTLER, PC ;
RIZZA, RA .
DIABETES, 1991, 40 (01) :73-81